TRANSFORM KM STORES OF ILLINOIS LLC
3333 Beverly Road Fc-419b
Hoffman Estates, IL 60179
847-286-2222
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ||
Y | 3336C0003X | Suppliers - Pharmacy | IL | 54015798 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MEDICARE IMU | PHC148 | IL | OTHER |
611448897468 | IL | MEDICAID | |
MEDICARE NSC | 7752850002 | IL | OTHER |